Inspection on 13/06/05 for Kings Abbot Rest Home

This inspection was carried out on 13th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Kings Abbot Rest Home 02/10/07

Kings Abbot Rest Home 10/08/06

Kings Abbot Rest Home 03/10/05

Kings Abbot Rest Home 01/02/05

Kings Abbot Rest Home 23/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Kings Abbot Rest Home Abbotsway, Penwortham Preston Lancashire PR1 0BD Lead Inspector Patrick Rooney Unannounced 13 June 2005 10:00am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kings Abbot Rest Home Address Abbotsway, penwortham, Preston, Lancashire, PR1 0BD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01772 746817 Mrs Julia Caroline Mather Mrs Julia Caroline Mather CRH Care Home 13 Category(ies) of OP Old Age 13 registration, with number of places Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2005 Brief Description of the Service: Kings Abbot is situated in its own grounds, in a secluded area of Penwortham, which is aproximately one mile from Preston City Centre. Penwortham shops and amenities are a short walk away, where there are a number of local community facilities. The home provides accomodation for thirteen residents in five single and four double rooms. The first floor is accessed by a stair lift. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and took place over a period of four hours. The information contained in the report has been gathered by discussion with the owners, discussion with staff and discussion with residents and visitors. Questionnaires were distributed and completed by most residents. Completed questionnaires were also received from two relatives. Positive feedback was received from all discussions and questionnaires. Residents told the inspector that they are well cared for and that staff are caring and approachable and meet their needs. The inspector carried out a tour of the home and examined records, policies and procedures. The care records of three residents were examined and the care they receive was measured against these records. Kings Abbot is a small family run home, which is managed by the owners. They have been operating the home for many years and pride themselves on their individual approach to residents. The inspector found during the visit that the owners demonstrated a good awareness of the needs of the residents and he observed good interaction between residents, management and staff. What the service does well: What has improved since the last inspection? The home has improved procedures for the recruitment of staff, these are more robust and provide protection for residents. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3 Residents receive information about services the home offers. The admission and assessment procedure is clear and ensures the care needs of residents are addressed and acted upon. There is a clear contract and prospective residents are offered a trial period. EVIDENCE: The inspector looked at the homes admission procedures and looked at the files of three of the most recent admissions. All had full assessments recorded on their files including risk assessments. Residents spoken to said they were happy with the level of care and support they receive. A relative’s comments on a questionnaire given out for the inspection are “My mother has been resident for some time and is well cared for and happy”. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 and 10 Residents plans of care are set out in an individual care plan and show that promotion of health and welfare is taken seriously. Privacy and dignity is upheld by the home. EVIDENCE: The inspector examined three residents records, these clearly described their health needs. Residents care is clearly recorded with risk assessments in place. Residents were spoken to and said they are happy with the care they receive and a relative said her relative was well cared for and happy. Residents also said that staff carry out their duties respecting residents privacy and dignity. Questionnaires received also confirmed this to be the case. The homes policies and procedures require staff to respect the independence, privacy and dignity of residents. Staff spoken to showed an understanding of these principles. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13 Daily routines are flexible and arranged around the needs and wishes of individual residents. There are a variety of in house activities arranged by the home, some residents felt there could be more activities provided. Residents are assisted in maintaining contact with family, friends and local community. EVIDENCE: Staff told the inspector that there are a variety of activities arranged for residents, these include , clothes parties, quizzes, visiting singers and choirs. Residents confirmed that these activities are provided. Residents questionnaires received indicated that more activities could be provided. Residents said that family and friends are made welcome and are able to take them out. Cultural and religious need s are met and local clergy visit the home. Residents said both verbally and in questionnaires received that there is flexibility in how the home operates. They rise and retire when they wish and use their own rooms during the day if they wish. All were content with how the home runs from day to day. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 There are good arrangements in place for complaints. The homes policies and procedures are robust and ensure residents are protected from abuse. EVIDENCE: The inspector viewed the homes complaints procedure, this is detailed and contained in information provided to residents. Residents spoken to said they are aware of the procedure and knew what to do if they wished to make a complaint. The owner of the home also manages the home and is in daily contact with residents. Residents stated that they find the owner approachable and are able to discuss any issues with her. There have been no complaints made to the CSCI regarding this service. The inspector saw the homes policies and procedures regarding protection of vulnerable adults these are detailed and all staff are required to read them. They include a whistle blowing policy. The homes staffing policies ensure all required checks are made prior to staff working at the home. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 25 and 26 The standard of the premises and living areas of the home are good and provide residents with a homely well furnished environment. The home is clean and procedure in place to ensure good infection control. EVIDENCE: The inspector carried out a tour of the premises and observed that there was a high standard of decoration and furnishing which is well maintained. Residents told the inspector they are happy with standards at the home and find them homely and comfortable. The inspector found the home clean and tidy, infection control procedures were examined and found to be rigorous. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 There is a stable staff team with many years of experience and who receive training and supervision. The numbers of staff on duty are sufficient to meet the needs of residents. There are robust staff recruitment procedures in place to offer protection to residents. EVIDENCE: Discussion with the owner and staff showed that Kings Abbot is a small family run establishment which has operated for many years with a stable staff team, which provides security and continuity for its residents. Staff receive training and supervision, this was confirmed from records, these show training in the following areas; adult abuse, care of dying, medication administration, fire lecture, moving and handling, first aid and infection control. The inspector saw the homes recruitment procedures, these were robust and included POVA and CRB checks which ensure the protection of residents. Rotas examined showed that there is always a mix of staff on duty with skills and experience to meet the needs of residents. Residents told the inspector that they are well cared for and that staff are kind and caring. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 There are good systems in place to ensure the health safety and welfare of residents and staff. EVIDENCE: The inspector looked at health and safety policies and procedures and was satisfied that there are good systems in place to promote the health and safety of residents and staff. Training records showed that staff receive training in moving and handling, health and safety, food hygiene, first aid and infection control. Electrical items are tested and there is a current electrical safety certificate in place. Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 3 Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 16 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Kings Abbot Rest Home F57 F09 S5885 Kings Abbot Rest Home V220174 130605 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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